Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $39.82 / $71.54	Facility		$18.16	$39.82	$71.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $12.97 / $45.52	Professional		$11.11	$12.97	$45.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $29.47 / $76.48	Professional		$16.84	$29.47	$76.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $28.22 / $81.26	Facility		$16.84	$28.22	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $17.35 / $46.48	Professional		$10.10	$17.35	$46.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $34.31 / $52.79	Facility		$20.62	$34.31	$52.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $34.31 / $48.24	Professional		$20.23	$34.31	$48.24
United Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.23 / $38.72	Professional		$10.10	$11.23	$38.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $16.84 / $16.84	Professional		$13.30	$16.84	$16.84